VIRGINIA DEPARTMENT OF SOCIAL SERVICES

New Direction Childcare & Learning Center
140 East Belt Boulevard
Richmond, VA 23224
(804) 231-7030

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Oct. 8, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on October 8, 2021 and concluded on October 12, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 30 children present, ranging in ages from 6 months to 4 years, with 8 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 3 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within 21 days of employment. Evidence: 1. The records of Staff #1 (DOH 7/16/21) and Staff #2 (DOH 7/5/19) did not contain documentation of a tuberculosis screening. 2. Administration confirmed the tuberculosis screenings were not completed.
Plan of Correction:	Ensure TB testing within 21 days of employment.
Standard #:	22VAC40-185-240-A
Description:	Based on a review of records, the center did not ensure staff receive training by the end of their first day of assuming job responsibilities. Evidence: The record of Staff #1 (DOH 7/16/21) contained documentation of orientation dated 4/18/18. Staff #1 is a rehire and there was no documentation that orientation was redone.
Plan of Correction:	Ensure any employee returning from leave will be processed as new hire.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The 3 year old classroom had a container of disinfectant wipes located on top of cubbies. The label of the disinfectant wipes states "keep out of the reach of children" and "caution." 2. Administration confirmed the wipes were not kept locked.
Plan of Correction:	Ensure wipes will be locked immediately after usage. Corrected on site.
Standard #:	22VAC40-185-560-F
Description:	Based on a review of the menu, the provider did not ensure to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: Documentation of the center's menu contains two components of the USDA's three component requirement for breakfast and one component of the USDA's two component requirement for snack.
Plan of Correction:	Follow CACFP guidelines for meal components.
Standard #:	22VAC40-191-40-D-6
Description:	Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding that is not dated more than 90 days prior to the date of employment. Evidence: 1. The record of Staff #1 (DOH 7/16/21) contained documentation of a central registry finding dated 5/13/18. Administration stated Staff #1 was separated from employment from January 1, 2020 until July 16, 2021.
Plan of Correction:	Any employee returning from leave will be processed as new hire.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and interview, the licensee did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted March 25, 2021, were not posted in the facility on the date of the inspection. 2. Administration acknowledged there were no posted findings.
Plan of Correction:	Any further office improvements will make sure all required are posted. Corrected on site.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of records and interview, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of Staff #1 (DOH 7/16/21) contained documentation of fingerprints dated 4/17/18. Administration stated Staff #1 was separated from employment from January 1, 2020 until July 16, 2021. Fingerprints should have been completed upon rehire.
Plan of Correction:	Any employee returning from leave will be processed as new hire.